Status:

WITHDRAWN

Repeated Intranasal Esketamine Plus Almond Therapy in Participants With Treatment Resistant Depressive Disorder - 3 Month Extension Study

Lead Sponsor:

Zylorion Health

Conditions:

Treatment Resistant Major Depressive Disorder

Eligibility:

All Genders

18-64 years

Phase:

PHASE2

Brief Summary

The purpose of this study is to determine if any improvements in depressive symptoms are maintained in the medium and longer-term (up to 3 months)

Detailed Description

The duration of the study is 3 months Participants enrolled in the Almond Therapy group will have up to 9 in person visits, including the baseline visits, participants will receive Esketamine on 8 of...

Eligibility Criteria

Inclusion

  • Participants must have completed Study ZYL-730-01 through to Day 28
  • Adults aged 18-64
  • Participants must have a level of understanding sufficient to agree to all tests and examinations required by the protocol and must sign an informed consent.
  • Women must use a medically acceptable reliable means of contraception and must agree to use adequate birth control for the duration of the study and for 6 weeks after the last dose using methods from the permitted list for contraception.
  • If currently receiving medication for depression their antidepressant dose(s) must be stable for the previous 4 weeks prior to baseline.
  • Must be on a stable dose of all other medication(s) for at least 1-month prior to baseline visit., unless medication is to treat other short term conditions (i.e. influenza, upper respiratory track infections, pain, etc.)
  • Controlled hypertension and must be on a stable dose of antihypertensive medications for at least 3 months prior to the baseline visit.

Exclusion

  • Women who plan to become pregnant, are pregnant or are breastfeeding.
  • Serious unstable medical illness, or any significant change in medical status at the baseline visit and during the study, as determined by the Investigator
  • Hormonal treatment (e.g., Estrogen) started within the 3 months prior to first dose of study treatment.
  • Participants who report treatment with a benzodiazepine, an opioid medication, or a mood stabilizer (such as valproic acid or lithium) at the baseline visit and within 2 weeks prior to the first dose of Esketamine .
  • Participants with confirmed psychotic disorder or symptoms, bipolar disorder and or clinically significant alcohol or substance misuse confirmed by a psychiatrist at the baseline visit. Those participants who develop symptoms of these may be withdrawn from the study, as determined by the Investigator
  • Current diagnosis of bulimia nervosa, or development of significant eating disorder symptoms at the baseline visit or during the study as determined by the Investigator
  • Participants who have been diagnosed with ADD/ADHD and who are also currently taking stimulant medication such as methylphenidate or another amphetamine-type medication, or who are diagnosed with this disorder or who start medication for this during the study.
  • Participants currently taking St John's Wort, Ginseng or Turmeric who start any of these during the study
  • Participants judged clinically to be actively at serious risk of self-harm or suicidal behaviour by the study team or psychiatrist at baseline or at any time during the study, as determined by the Investigator.
  • Blood pressure \>140/90 at baseline
  • Participants who are unable to easily travel to the clinic for all of the in-person visits.

Key Trial Info

Start Date :

January 15 2023

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2024

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT05438758

Start Date

January 15 2023

End Date

March 1 2024

Last Update

November 15 2022

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